REQUEST TO PURCHASE BY CHECK
Return to Texas Quarter Horse Association at least five (5) days before sale.
This form must be completed in full and notarized.
Date ___________________
Amount of Credit Desired $ _____________________________________________
To: Texas Quarter Horse Association, 14 N. Main Street, Suite B; Elgin, TX 78621
Applicant Name ______________________________________________________ Phone Number(s) ___________________________________________________ City, State, Zip _______________________________________________________ Social Security Number________________________________________________ Driver’s License Number ____________________________ State ______________ Business Name ______________________________________________________ If Licensed Owner/Trainer, Number & State ________________________________ Trainer’s Name _______________________________________________________ The Credit Applicant, named above and signed below, has had an account with this bank for ________ years, with an average balance in the range of $_________________________ . Signature of Bank Officer ______________________________________________ Bank Officer Name & Title ______________________________________________ Name of Bank _______________________________________________________ Address ____________________________________________________________ Signature of Credit Applicant____________________________________________ Subscribed and sworn to me on this _________ day of _________________, ____ NOTARY PUBLIC ____________________________________________________ City _______________________________________________________________ County _____________________________________________________________ My Commission Expires:_____________________
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